Attachment to ASL 00-03
State of California
California Environmental Protection Agency
AIR RESOURCES BOARD
ASD/FISCAL-214 (NEW 8/99)
Accounting & Grants Section
REQUEST TO STATE CONTROLLER'S OFFICE
DIVISION OF CLAIMS AUDITS
FOR VEHICLE RENTAL EXCEPTION
3301 C Street, Room 705
Sacramento, California 95816
| Vendor _______________________________________ | Vehicle Type _______________________ |
| Dates of Travel _________________________________ | Destination of Travel _________________ |
| Payment Type: State Billed_______________________ | Employee Paid/Reimbursed ___________ |
___ Non-contract Company ___ Upgrade/Larger Vehicle
REASON FOR EXCEPTION:
___
None of six contracting companies able to provide vehicle
___ No contract vendor at location
___ No vehicle available at this location
___
More than four employees traveling together with luggage and
other belongings.
(more economical to rent one larger vehicle)
___
Employee is large in stature
Please describe the circumstances, the make and model of vehicle rented and the make and
model available for contract rate.
___
Medical Problem
A statement from a medical doctor is on file with the supervisor.
___
Nature of business requires traveling with sizable field equipment
and apparatuses.
___
Other (explain) _____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________
Signature of Employee_____________
Date_______________________________
Signature of Supervisor______________
Date